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JENNIFER A PARK CNP
NPI 1265908602
Nurse Practitioner - Family in Lawrence, MA

Active since October 23, 2018PECOS Enrolled
360 MERRIMACK ST, LAWRENCE, MA 01843(978) 557-8800(978) 557-8633 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer A Park Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER A PARK CNP (NPI 1265908602) is an individual family provider in Lawrence, Massachusetts, licensed in Massachusetts (RN254560) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265908602
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJENNIFER A PARKCredential: CNP
Location Address360 MERRIMACK STLawrence, MA 01843-1740
Mailing Address360 Merrimack StLawrence, MA 01843-1740 · (978) 557-8800 · Fax (978) 557-8633
Phone(978) 557-8800
Fax(978) 557-8633
Sole ProprietorNo
Enumeration DateOctober 23, 2018
✔ NPI 1265908602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MA · RN254560
360 MERRIMACK ST, Lawrence, MA 01843
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer A Park Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jennifer Park reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry Heywood Memorial Hospital
44 mi
Hospitalist
242 GREEN ST
Gardner, MA 01440
  • Reassigned Medicare billing, Massachusetts enrollment
  • 344 clinicians in this Medicare group
NPI 1205448701 (978) 630-6944
Athol Memorial Hospital Incorporated
55 mi
Critical Access
2033 MAIN STREET
Athol, MA 01331
  • Reassigned Medicare billing, Massachusetts enrollment
  • 324 clinicians in this Medicare group
NPI 1336120047 (978) 249-3511
Tauc Il, PC
1,025 mi
Urgent Care
400 BELTLINE RD
Collinsville, IL 62234
  • Reassigned Medicare billing, Illinois enrollment
  • 28 clinicians in this Medicare group
NPI 1487401709 (618) 215-5703
Total Access Urgent Care, PC
1,046 mi
Urgent Care
9556 MANCHESTER RD
Saint Louis, MO 63119
  • Reassigned Medicare billing, Missouri enrollment
  • 111 clinicians in this Medicare group
NPI 1962684886 (314) 961-2255

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
20 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01843 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENEE LAFOUNTAIN
Counselor (Professional)
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 688-4830
NICOLE LEVASSEUR
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (508) 281-9411
SCARLET PLACERES
Behavior Analyst
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 973-5399
PLUMMER GASKINS
Behavior Technician
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (508) 281-9411
KELLY JEANNE O'CONNOR FNP
Nurse Practitioner (Family)
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 557-8800
INTEGRATED CENTER FOR GROUP MEDICAL VISITS
Clinic/Center (Health Service)
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 382-3080
LEAH BENINATO
Counselor
360 MERRIMACK ST, BUILDING 9 ENTRANCE H
LAWRENCE, MA 01843
Essex County (978) 688-4830
STEPHANIE HENRIQUEZ
Registered Nurse
360 MERRIMACK ST
LAWRENCE, MA 01843
Essex County (978) 688-4830

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Park's NPI number?

The NPI number for Jennifer Park is 1265908602. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Jennifer Park located?

Jennifer Park practices at 360 Merrimack St, Lawrence, MA 01843. The listed phone number is (978) 557-8800.

What is Jennifer Park's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jennifer Park enrolled in Medicare?

Yes. Jennifer Park is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jennifer Park's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Park reassigns Medicare benefits to 4 organizations: Henry Heywood Memorial Hospital (Gardner, MA), Athol Memorial Hospital Incorporated (Athol, MA), Tauc Il, PC (Collinsville, IL) and Total Access Urgent Care, PC (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Park's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Park was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.